2010 LM2 Cir

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U.S. Department of Labor FORM LM-2 LABOR ORGANIZATION ANNUAL

Employment Standards REPORT Form Approved
Administration Office of Management and Budget
Office of Labor-Management No. 1215-0188
MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN
Standards Expires: 09-11-2011
TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN TRUSTEESHIP
Washington, DC 20210
This report is mandatory under P.L. 86-257, as amended. Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by
29 U.S.C. 439 or 440.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.
2. PERIOD COVERED 3. (a) AMENDED - Is this an amended report: No

For Official Use 1. FILE NUMBER
From 7/1/2009 (b) HARDSHIP - Filed under the hardship procedures: No
Only 506-906
Through 6/30/2010 (c) TERMINAL - This is a terminal report: No
4. AFFILIATION OR ORGANIZATION NAME 8. MAILING ADDRESS (Type or print in capital letters)

COMMITTEE OF INTERNS AND RESIDENTS First Name Last Name
5. DESIGNATION (Local, Lodge, etc.) 6. DESIGNATION NBR ERIC SCHERZER
P.O Box - Building and Room Number
7. UNIT NAME (if any) SUITE 1200
Number and Street
520 EIGHTH AVENUE
City
NEW YORK
9. Are your organization's records kept at its mailing address? Yes
State ZIP Code + 4
NY 10018
Each of the undersigned, duly authorized officers of the above labor organization, declares, under penalty of perjury and other applicable penalties of
law, that all of the information submitted in this report (including information contained in any accompanying documents) has been examined by the
signatory and is, to the best of the undersigned individual's knowledge and belief, true, correct and complete (See Section V on penalties in the
instructions.)
26. SIGNED: Farbod Raiszadeh PRESIDENT 27. SIGNED: John W Ingle TREASURER
Date: Sep 28, 2010 Contact Info: Date: Sep 27, 2010 Contact Info:
Form LM-2 (Revised 2003)
1 of 41 1/8/11 9:32 AM
HTML Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
ITEMS 10 THROUGH 21 FILE NUMBER: 506-906

10. During the reporting period did the labor organization 20. How many members did the labor organization have at
8,798
create or participate in the administration of a trust or a the end of the reporting period?
Yes
fund or organization, as defined in the instructions, which 21. What are the labor organization's rates of dues and fees?
provides benefits for members or beneficiaries? Rates of Dues and Fees
11. During the reporting period did the labor organization Dues/Fees Amount Unit Minimum Maximum
Yes
have a Political Action Committee (PAC) fund? (a) Regular Dues/Fees 1.5%per Year 640.14 1260.00
12. During the reporting period did the labor organization (b) Working Dues/Fees per
have an audit or review of its books and records by an (c) Initiation Fees per
Yes
outside accountant or by a parent body
(d) Transfer Fees per
auditor/representative?
(e) Work Permits per
13. During the reporting period did the labor organization
discover any loss or shortage of funds or other assets?
No
(Answer "Yes" even if there has been repayment or
recovery.)
14. What is the maximum amount recoverable under the
labor organization's fidelity bond for a loss caused by any
$500,000
officer, employee or agent of the labor organization who
handled union funds?
acquire or dispose of any assets in a manner other than No
purchase or sale?
16. Were any of the labor organization's assets pledged
as security or encumbered in any way at the end of the Yes
reporting period?
17. Did the labor organization have any contingent
No
liabilities at the end of the reporting period?
have any changes in its constitution or bylaws, other than
Yes
rates of dues and fees, or in practices/procedures listed in
the instructions?
19. What is the date of the labor organization's next
May 2011
regular election of officers?
2 of 41 1/8/11 9:32 AM
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 506-906
Schedule Start of Reporting Period End of Reporting Period

ASSETS
Number (A) (B)
22. Cash $3,053,732 $2,222,767
23. Accounts Receivable 1 $1,176,660 $761,924
24. Loans Receivable 2 $0 $6,910
ASSETS 25. U.S. Treasury Securities $1,011,929 $2,172,434
26. Investments 5 $82,671 $0
27. Fixed Assets 6 $766,709 $622,198
28. Other Assets 7 $612,986 $607,885
29. TOTAL ASSETS $6,704,687 $6,394,118
Schedule Start of Reporting Period End of Reporting Period

LIABILITIES
Number (A) (B)
30. Accounts Payable 8 $211,028 $426,796
LIABILITIES 31. Loans Payable 9 $26,292 $0
32. Mortgages Payable $0 $0
33. Other Liabilities 10 $432,351 $248,911
34. TOTAL LIABILITIES $669,671 $675,707
35. NET ASSETS $6,035,016 $5,718,411

3 of 41 1/8/11 9:32 AM
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 506-906
CASH RECEIPTS SCH AMOUNT CASH DISBURSEMENTS SCH AMOUNT

36. Dues and Agency Fees $8,960,237 50. Representational Activities 15 $3,784,730
37. Per Capita Tax $0 51. Political Activities and Lobbying 16 $215,497
38. Fees, Fines, Assessments, Work Permits $0 52. Contributions, Gifts, and Grants 17 $36,474
53. General Overhead 18 $1,931,780
39. Sale of Supplies $0
54. Union Administration 19 $1,418,043
40. Interest $57,933 55. Benefits 20 $1,039,051
41. Dividends $0 56. Per Capita Tax $1,380,516
42. Rents $0 57. Strike Benefits $0
43. Sale of Investments and Fixed Assets 3 $653,292 58. Fees, Fines, Assessments, etc. $0
44. Loans Obtained 9 $0
59. Supplies for Resale $0
45. Repayments of Loans Made 2 $22,858
60. Purchase of Investments and Fixed Assets 4 $1,703,368
46. On Behalf of Affiliates for Transmittal to Them $54,985
61. Loans Made 2 $29,768
47. From Members for Disbursement on Their
$0 62. Repayment of Loans Obtained 9 $26,292
Behalf
63. To Affiliates of Funds Collected on Their
48. Other Receipts 14 $1,377,009 $53,998
Behalf
49. TOTAL RECEIPTS $11,126,314
64. On Behalf of Individual Members $0
65. Direct Taxes $343,658
66. Subtotal $11,963,175

67. Withholding Taxes and Payroll Deductions
67a. Total Withheld $1,163,546
67b. Less Total Disbursed $1,157,650
67c. Total Withheld But Not Disbursed $5,896
68. TOTAL DISBURSEMENTS $11,957,279
4 of 41 1/8/11 9:32 AM
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 506-906
Liquidated
Total Account 90-180 Days 180+ Days
Entity or Individual Name Account
Receivable Past Due Past Due
(A) Receivable
(B) (C) (D)
(E)
Totals from all other accounts receivable $761,924 $0
TOTALS (Column (B) Total will be automatically entered in Item 23, Column (B)) $761,924 $0 $0 $0
5 of 41 1/8/11 9:32 AM
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 506-906
List below loans to officers, employees, or members Loans Loans Made Cash Other Than Cash Loans
which at any time during the reporting period exceeded Outstanding at During Period (D)(1) (D)(2) Outstanding at
$250 and list all loans to business enterprises regarless Start of Period (C) End of Period
of amount. (B) (E)
(A)
Name: Cheryle Daniel-Hill
Purpose: Payroll Advance
$0 $3,268 $1,858 $0 $1,410
Security: Future Payroll
Terms: $156 Per Month
Name: Sandra Grant
Purpose: Payroll Advance
$0 $1,000 $1,000 $0 $0
Security: Future Payroll
Terms: Next Payroll
Name: National Doctors Alliance
Purpose: Fund Staff Position
$0 $25,500 $20,000 $0 $5,500
Security: none
Terms: As Able
Total of loans not listed above $0
Total of all lines $0 $29,768 $22,858 $0 $6,910
Item 24 Item 61 Item 45 Item 69 Item 24
Totals will be automatically entered in...
Column (A) with Explanation Column (B)
6 of 41 1/8/11 9:32 AM
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 506-906
Description (if land or buildings give location) Cost Book Value Gross Sales Price Amount Received
(A) (B) (C) (D) (E)
US Treasury Securities $461,644 $461,644 $478,283 $478,283
Corporate Obligations $170,681 $170,681 $175,009 $175,009
Total of all lines $632,325 $632,325 $653,292 $653,292
14. Less Reinvestments $0
(Net Sales total will automatically entered in Item 43)15. Net Sales $653,292
7 of 41 1/8/11 9:32 AM
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 506-906
Description (if land or buildings, give location) Cost Book Value Cash Paid
(A) (B) (C) (D)
Computer Equipment $1,471 $1,471 $1,471
Office Furniture $3,070 $3,070 $3,070
Computer Software $10,441 $10,441 $10,441
US Treasury Securities $1,600,554 $1,600,554 $1,600,554
Corporate Obligations $87,832 $87,832 $87,832
Total of all lines $1,703,368 $1,703,368 $1,703,368
14. Less Reinvestments $0
(Net Purchases total will automatically entered in Item 60)15. Net Purchases $1,703,368
8 of 41 1/8/11 9:32 AM
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 506-906
Description Amount
(A) (B)
Marketable Securities
1. Total Cost $0
2. Total Book Value $0
3. List each marketable security which has a book value over $5000 and exceeds 5% of Line 2.
N/A $0
Other Investments
4. Total Cost $0
5. Total Book Value $0
6. List each other investment which has a book value over $5000, of Line 5. Also list each Trust which is an
investment.
N/A $0
7. Total of Lines 2 and 5 (Total will be automatically entered in Item 26, Column(B)) $0
9 of 41 1/8/11 9:32 AM
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 506-906
Total Depreciation or
Description Cost or Other Basis Book Value Value
Amount Expensed
(A) (B) (D) (E)
(C)
1. Land (give location) $0 $0 $0
3. Buildings (give location) $0 $0 $0 $0
5. Automobiles and Other Vehicles $0 $0 $0 $0
6. Office Furniture and Equipment $976,675 $770,645 $206,030 $206,030
7. Other Fixed Assets $1,073,994 $657,826 $416,168 $416,168
8. Totals of Lines 1 through 7 (Column(D) Total will be
$2,050,669 $1,428,471 $622,198 $622,198
automatically entered in Item 27, Column(B))
10 of 41 1/8/11 9:32 AM
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 506-906
Description Book Value

(A) (B)
Prepaid Expenses $43,205
Accrued Income Receivable $9,032
Rebates Receivable $125,222
Security Deposits $90,096
Due from Related Entities $340,330
Total Other Assets (Total will be automatically entered in Item 28, Column(B)) $607,885
11 of 41 1/8/11 9:32 AM
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 506-906
Total Account 90-180 Days 180+ Days Past Liquidated

Entity or Individual Name
Payable Past Due Due Account
(A)
(B) (C) (D) (E)
Total from all other accounts payable $426,796 $0 $0 $0
Total Accounts Payable (Column(B) Total will be automatically
$426,796 $0 $0 $0
entered in Item 30, Column(D))
12 of 41 1/8/11 9:32 AM
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 506-906
Repayment Repayment
Source of Loans Payable at Any Loans Owed at Loans Obtained Loans Owed at
During Period During Period
Time During the Reporting Period Start of Period During Period End of Period
Cash Other Than Cash
(A) (B) (C) (E)
(D)(1) (D)(1)
JP Morgan Chase $26,292 $0 $26,292 $0 $0
Total Loans Payable $26,292 $0 $26,292 $0 $0
Item 31 Item 44 Item 62 Item 69 Item 31
Totals will be automatically entered in...
Column (C) with Explanation Column (D)
13 of 41 1/8/11 9:32 AM
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 506-906
Description Amount at End of Period

(A) (B)
Accrued Salaries Payable $117,176
Accrued Vacation Payable $79,739
Other Payables $51,996
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $248,911
14 of 41 1/8/11 9:32 AM
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 506-906
(D) (E) (F) (G) (H)

Gross Salary Allowances Disbursements Other TOTAL
(A) (B) (C)
Disbursements Disbursed for Official Disbursements not
Name Title Status
(before any Business reported in
deductions) (D) thru (F)
A Farbod Raiszadeh
B President $0 $0 $292 $0 $292
C C
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 50 % Political Activities 0% 0% 0% 50 %
Representational Activities Contributions General Overhead Administration
and Lobbying
A Hillary Tompkins
B Executive VP $0 $0 $66 $0 $66
C N
Schedule 16
and Lobbying
A John Ingle
B Secretary Treasurer $0 $0 $230 $0 $230
C C
Schedule 16
and Lobbying
A Michael Core
B Regional VP - So CA $0 $0 $149 $0 $149
C N
Schedule 16
and Lobbying
A Davida Flattery
B Regional VP - No CA $0 $0 $730 $0 $730
C C
Schedule 16
and Lobbying
A Kelly Liker
B Regional VP - FL $0 $0 $204 $0 $204
C N
Schedule 16
and Lobbying
A Jay Bhatt
B Regional VP - MA $0 $0 $0 $0 $0
C N
Schedule 16
and Lobbying
A Tony R Tarchichi
B Regional VP - NJ/DC $0 $0 $0 $0 $0
C N
Schedule 16
and Lobbying
A Bijay Archaya
B Regional VP - NY $0 $0 $0 $0 $0
C N
Schedule 16
and Lobbying
A Gregory Dodell
B Regional VP - NY $0 $96 $819 $0 $915
C N
Schedule 16
and Lobbying
A Thaddeus K Lynn
B Regional VP - NY $0 $0 $28 $0 $28
C N
Schedule 16
and Lobbying
A Sepideh Sedgh
B Regional VP - NY $0 $0 $0 $0 $0
C N
Schedule 16
and Lobbying
A Ian Wittman
B Regional VP - NY $0 $0 $37 $0 $37
C N
15 of 41 1/8/11 9:32 AM
(D) (E) (F) (G) (H)

Gross Salary Allowances Disbursements Other TOTAL
(A) (B) (C)
Disbursements Disbursed for Official Disbursements not
Name Title Status
(before any Business reported in
deductions) (D) thru (F)
Schedule 16
and Lobbying
A L Toni Lewis
B President $137,394 $3,705 $9,749 $0 $150,848
C P
Schedule 16
I 75 % Political Activities 5% 0% 10 % 10 %
and Lobbying
A Nailah Thompson
B Executive VP $0 $0 $3,002 $0 $3,002
C P
Schedule 16
and Lobbying
A Elizabeth Burpee
B Sec-Treas/EVP $0 $0 $3,425 $0 $3,425
C P
Schedule 16
and Lobbying
A Michael Jolley
B Regional VP - So CA $0 $0 $464 $0 $464
C P
Schedule 16
and Lobbying
A Janetta Dominic Cureton
B Regional VP - FL $0 $0 $1,270 $0 $1,270
C P
Schedule 16
and Lobbying
A Michael Mazzini
B Regional VP - MA $0 $0 $150 $0 $150
C P
Schedule 16
and Lobbying
A Michael Nagar
B Regional VP - NJ/DC $0 $16 $498 $0 $514
C P
Schedule 16
and Lobbying
A Matthew Harris
B Vice President - NY $0 $0 $1,818 $0 $1,818
C P
Schedule 16
and Lobbying
A Anyka J McClain
B Regional VP - NY $0 $0 $0 $0 $0
C P
Schedule 16
and Lobbying
A Vishal J Verma
B Regional VP - NY $0 $0 $590 $0 $590
C P
Schedule 16
and Lobbying
A Vaughn Whittaker
B Regional VP - NY $0 $0 $153 $0 $153
C P
Schedule 16
and Lobbying
Total Officer Disbursements $137,394 $3,817 $23,674 $0 $164,885
Less Deductions $61,923
Net Disbursements $102,962
16 of 41 1/8/11 9:32 AM
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 506-906
(D) (E) (F) (G) (H)

Gross Salary Allowances Disbursements Other Disbursements TOTAL
(A) (B) (C)
Disbursements Disbursed for Official not reported in
Name Title Other Payer
(before any Business (D) thru (F)
deductions)
A Amanda A Altman
B Organizer $53,503 $220 $6,150 $0 $59,873
C None
Schedule 16
and Lobbying
A Heather L Appel
B Campaign/Commun Coord $61,741 $764 $2,790 $0 $65,295
C None
Schedule 16
and Lobbying
A Mary Jane Barry
B Area Director $83,930 $0 $13,061 $0 $96,991
C None
Schedule 16
and Lobbying
A Laura Blum-Smith
B Para Legal $35,133 $111 $85 $0 $35,329
C None
Schedule 16
I 95 % Political Activities 0% 0% 0% 5%
and Lobbying
A William Bradley
B Organizer $52,614 $1,056 $17,239 $1,200 $72,109
C None
Schedule 16
and Lobbying
A Linda Carrube
B Office Manager $71,814 $0 $3,196 $0 $75,010
C None
Schedule 16
and Lobbying
A Peter Chang
B Controller $108,385 $0 $3,278 $0 $111,663
C None
Schedule 16
and Lobbying
A Timothy Chow
B Organizer $57,902 $2,362 $18,605 $0 $78,869
C None
Schedule 16
and Lobbying
A Cheryle Daniel-Hill
B Executive Assistant $59,234 $111 $1,440 $0 $60,785
C None
Schedule 16
and Lobbying
A Stacy De-Lin
B Organizer $34,505 $903 $2,527 $0 $37,935
C None
Schedule 16
and Lobbying
A Ralph Derosa
B Deputy Counsel $103,061 $245 $657 $0 $103,963
C None
Schedule 16
and Lobbying
A Zita Dixon
B Organizer $35,668 $2,560 $5,101 $0 $43,329
C None
Schedule 16
and Lobbying
A Julia Donahue
B Organizer $65,655 $6,110 $9,829 $0 $81,594
C None
17 of 41 1/8/11 9:32 AM
(D) (E) (F) (G) (H)

(A) (B) (C)
deductions)
Schedule 16
and Lobbying
A Anita Eliot
B Managing Attorney $98,928 $0 $243 $0 $99,171
C None
Schedule 16
I 0 % Political Activities 0% 0% 100 % 0%
and Lobbying
A Bruce Elwell
B Organizer $71,979 $0 $45 $0 $72,024
C None
Schedule 16
and Lobbying
A Patricia Evanoff
B Designer/Prod A. $51,115 $0 $315 $0 $51,430
C None
Schedule 16
and Lobbying
A Timothy Foley
B Communications Director $78,831 $32 $2,169 $0 $81,032
C None
Schedule 16
I 75 % Political Activities 15 % 0% 0% 10 %
and Lobbying
A Harry Franklin
B General counsel $116,577 $219 $2,217 $0 $119,013
C None
Schedule 16
and Lobbying
A Clifford Freid
B Organizer $71,559 $374 $14,362 $0 $86,295
C None
Schedule 16
and Lobbying
A Patricia Fry
B Political Director $84,210 $667 $3,980 $0 $88,857
C None
Schedule 16
I 0 % Political Activities 40 % 0% 10 % 50 %
and Lobbying
A Chris Gorman
B Organizer $54,978 $3,577 $5,083 $795 $64,433
C None
Schedule 16
and Lobbying
A Sandra Grant
B Clerical $44,015 $0 $753 $0 $44,768
C None
Schedule 16
and Lobbying
A Dorcella Graves
B Clerical $50,160 $0 $0 $0 $50,160
C None
Schedule 16
and Lobbying
A Kelly Gray
B Area Director $79,740 $191 $2,067 $0 $81,998
C None
Schedule 16
and Lobbying
A Amy Hall
B Area Director $105,126 $1,015 $22,957 $0 $129,098
C None
Schedule 16
and Lobbying
A Christopher Hull
B Managing Attorney $98,716 $136 $1,503 $0 $100,355
C None
18 of 41 1/8/11 9:32 AM
(D) (E) (F) (G) (H)

(A) (B) (C)
deductions)
Schedule 16
and Lobbying
A Hilary Kunizaki
B Area Director $82,303 $406 $8,217 $0 $90,926
C None
Schedule 16
and Lobbying
A Nagiane Lacka
B Researcher $51,589 $184 $1,954 $0 $53,727
C None
Schedule 16
and Lobbying
A Jollene Levid
B Organizer $72,031 $1,515 $13,620 $0 $87,166
C None
Schedule 16
and Lobbying
A Oscar Lopez
B Organizer $58,035 $6,397 $4,996 $884 $70,312
C None
Schedule 16
and Lobbying
A Joanna R Lubkin
B Clerical $34,770 $0 $109 $0 $34,879
C None
Schedule 16
and Lobbying
A Wiener Maingrette
B Accountant $71,648 $128 $1,931 $0 $73,707
C None
Schedule 16
and Lobbying
A Erin Malone
B New Memb Organizer $55,311 $3,392 $5,135 $0 $63,838
C None
Schedule 16
and Lobbying
A Laura McSpedon
B Organizer $42,568 $764 $1,769 $0 $45,101
C None
Schedule 16
and Lobbying
A Alberto Mejia Moreno
B Organizer $65,656 $2,886 $4,164 $2,970 $75,676
C None
Schedule 16
and Lobbying
A Anne Mitchell
B Organizer $70,854 $5,400 $5,506 $0 $81,760
C None
Schedule 16
and Lobbying
A Alcy Montas
B New Memb Organizer $52,561 $166 $1,983 $0 $54,710
C None
Schedule 16
and Lobbying
A Theresa Moran
B Researcher $53,005 $352 $2,353 $0 $55,710
C None
Schedule 16
and Lobbying
A Van S Nguyen
C None
19 of 41 1/8/11 9:32 AM
(D) (E) (F) (G) (H)

(A) (B) (C)
deductions)
Schedule 16
and Lobbying
A Perry E O'Brien
B Organizer $70,070 $817 $2,142 $0 $73,029
C None
Schedule 16
and Lobbying
A Michael Phelan
B Dir. Of Field Services $117,033 $0 $2,076 $0 $119,109
C None
Schedule 16
and Lobbying
A Amanda Plumb
B Organizing Director $15,157 $359 $1,832 $0 $17,348
C None
Schedule 16
and Lobbying
A Maureen I Quicho
B Organizer $60,338 $6,379 $5,107 $755 $72,579
C None
Schedule 16
and Lobbying
A Carmen Robinson
B Clerical $54,394 $0 $464 $0 $54,858
C None
Schedule 16
and Lobbying
A Marina Rodriguez
B Sr. Bookkeeper $60,017 $0 $647 $0 $60,664
C None
Schedule 16
and Lobbying
A Priscilla Roldan
B Legal Secretary $62,794 $0 $540 $0 $63,334
C None
Schedule 16
and Lobbying
A Victor Rosado
B Organizer $56,579 $1,961 $10,283 $3,074 $71,897
C None
Schedule 16
and Lobbying
A Nathaniel V Santa Maria
B Contract Organizer $61,004 $0 $1,493 $0 $62,497
C None
Schedule 16
and Lobbying
A Eric Scherzer
B Executive Director $142,121 $471 $14,346 $0 $156,938
C None
Schedule 16
and Lobbying
A Sandra Shea
B Area Director $102,081 $1,169 $14,829 $0 $118,079
C None
Schedule 16
and Lobbying
A Samir Sonti
C None
Schedule 16
and Lobbying
A Maria Svart
B Organizer $66,118 $3,389 $6,246 $2,011 $77,764
C None
20 of 41 1/8/11 9:32 AM
(D) (E) (F) (G) (H)

(A) (B) (C)
deductions)
Schedule 16
and Lobbying
A Patricia Thomas
B Clerical $49,350 $0 $386 $0 $49,736
C None
Schedule 16
and Lobbying
A Woodrow Tomasino
B IT Director $89,908 $0 $0 $0 $89,908
C None
Schedule 16
I 0 % Political Activities 0% 0% 100 % 0%
and Lobbying
A Rosemary Warner
B Clerical $57,901 $0 $282 $0 $58,183
C None
Schedule 16
and Lobbying
A Arthur Williams
B Clerical $43,369 $0 $603 $0 $43,972
C None
Schedule 16
and Lobbying
A Kimberly Wong
B Area Director $71,414 $236 $6,736 $600 $78,986
C None
Schedule 16
and Lobbying
A Justin Wood
B Research Director $67,968 $234 $698 $0 $68,900
C None
Schedule 16
and Lobbying
TOTALS RECEIVED BY EMPLOYEES MAKING
$38,952 $89 $940 $0 $39,981
LESS THAN $10000
Schedule 15 Schedule 16 Schedule 17 Schedule 18 Schedule 19
I 9% 0% 0% 8% 83 %
Representational Activities Political Activities and Lobbying Contributions General Overhead Administration
Total Employee Disbursements $3,938,935 $69,183 $280,561 $12,289 $4,300,968
Less Deductions $1,101,623
Net Disbursements $3,199,345
21 of 41 1/8/11 9:32 AM
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 506-906
Category of Membership Number Voting Eligibility

(A) (B) (C)
Members 8,798 Yes
Members 8,798
Agency Fee Payers* 885
Total Members/Fee Payers 9,683
*Agency Fee Payers are not considered members of the labor organization.
22 of 41 1/8/11 9:32 AM
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 506-906
SCHEDULE 14 OTHER RECEIPTS SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS

1. Named Payer Itemized Receipts $1,182,202 1. Named Payee Itemized Disbursements $12,000
2. Named Payer Non-itemized Receipts $137,018 2. Named Payee Non-itemized Disbursements $0
3. All Other Receipts $57,789 3. To Officers $0
4. Total Receipts $1,377,009 4. To Employees $1,569
5. All Other Disbursements $22,905
6. Total Disbursements $36,474
SCHEDULE 15 REPRESENTATIONAL ACTIVITIES SCHEDULE 18 GENERAL OVERHEAD

1. Named Payee Itemized Disbursements $476,083 1. Named Payee Itemized Disbursements $819,039
2. Named Payee Non-itemized Disbursements $229,810 2. Named Payee Non-itemized Disbursements $432,287
3. To Officers $120,155 3. To Officers $15,085
4. To Employees $2,887,163 4. To Employees $534,190
5. All Other Disbursements $71,519 5. All Other Disbursements $131,179
6. Total Disbursements $3,784,730 6. Total Disbursements $1,931,780
SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING SCHEDULE 19 UNION ADMINISTRATION
1. Named Payee Itemized Disbursements $5,000 1. Named Payee Itemized Disbursements $318,333
2. Named Payee Non-itemized Disbursements $9,417 2. Named Payee Non-itemized Disbursements $247,223
3. To Officers $7,542 3. To Officers $22,104
4. To Employees $161,095 4. To Employees $716,950
5. All Other Disbursements $32,443 5. All Other Disbursements $113,433
6. Total Disbursements $215,497 6. Total Disbursements $1,418,043
23 of 41 1/8/11 9:32 AM
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 506-906
Name and Address

(A)
Brooklyn Hospital Purpose Date Amount
(C) (D) (E)
121 De Kalb Avenue Funds deposited to CIR in error 02/19/2010 $20,095
Brooklyn Funds deposited to CIR in error 02/19/2010 $20,346
NY Total Itemized Transactions $40,441
11201 Total Non-Itemized Transactions
Type or Classification Total of All Transactions $40,441
(B)
Affiliate Hospital
Name and Address Purpose Date Amount
(A) (C) (D) (E)
CIR Legal Service 1 Expense Reimbursement 07/14/2009 $9,000
Expense Reimbursement 07/14/2009 $9,000
520 8th Ave Suite 1200 Expense Reimbursement 09/01/2009 $9,000
New York Expense Reimbursement 09/15/2009 $9,000
NY Expense Reimbursement 10/13/2009 $9,000
10018 Expense Reimbursement 11/12/2009 $9,000
Type or Classification Expense Reimbursement 05/20/2010 $9,000
(B) Total Itemized Transactions $63,000
Affiliate Legal Plan Total Non-Itemized Transactions
Total of All Transactions $63,000
Name and Address
(A)
CIR Policy Education Initiative
Purpose Date Amount
520 8th Avenue Suite 1200 (C) (D) (E)
New York Total Itemized Transactions $0
NY Total Non-Itemized Transactions $6,466
10018 Total of All Transactions $6,466
Type or Classification
(B)
Affiliate Foundation
Name and Address
(A)
Purpose Date Amount
Doctors Council (C) (D) (E)
Reimburse Funding for NDA Staff Position 08/03/2009 $16,555
50 Broadway, Suite 1101
New York
NY
Total Itemized Transactions $38,701
10004
Total Non-Itemized Transactions $50,378
(B) Total of All Transactions $89,079
Affiliate Association
(A) (C) (D) (E)
Housestaff Benefit Plan Expense Reimbursement 01/27/2010 $9,000
Affiliate Benefit Plan
Name and Address
(A)
Patient Care Trust Fund
Purpose Date Amount
520 8th Ave Suite 1200 (C) (D) (E)
(B)
Affiliate Fund
Name and Address
(A)
Professional Education Plan
Purpose Date Amount
520 8th Ave Suite 1200 (C) (D) (E)
(B)
Affiliate Fund
24 of 41 1/8/11 9:32 AM
Name and Address

(A)
Public Citizen
Purpose Date Amount
1600 20th Street NW (C) (D) (E)
Washington Total Itemized Transactions $0
DC Total Non-Itemized Transactions $5,000
(B)
Consumer Advocacy Group
Name and Address
(A)
SEIU Cope
Purpose Date Amount
(C) (D) (E)
1800 Massachusetts Ave NW
Refund COPE overpayment 05/24/2010 $77,021
Washington
DC
Total Non-Itemized Transactions
20036
(B)
Affiliate PAC
(A) (C) (D) (E)
Service Employees International Union Per Capita Rebate 07/21/2009 $174,899
Per Capita Rebate 06/24/2010 $63,617
1800 Massachusetts Ave NW Per Capita Rebate 10/05/2009 $81,049
Washington Per Capita Rebate 06/15/2010 $67,930
DC Per Capita Rebate 06/15/2010 $61,378
20036 Per Capita Rebate 06/15/2010 $64,667
Type or Classification Per Capita Rebate 06/15/2010 $11,258
(B) Per Capita Rebate 06/15/2010 $89,866
Affiliate Union
Per Capita Rebate 06/15/2010 $84,768
(A) (C) (D) (E)
Voluntary Hospitals HSBP Expense Reimbursement 07/14/2009 $10,200
(B) Expense Reimbursement 12/04/2009 $10,200
Affiliate Benefit Plan Expense Reimbursement 01/27/2010 $10,200
Name and Address
(A)
Wyndham Garden Hotel
Purpose Date Amount
(C) (D) (E)
341 West 36th Street
Refund for Face to Face Meeting 06/15/2010 $5,444
New York
NY
10018
(B)
Hotel
25 of 41 1/8/11 9:32 AM
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 506-906
Name and Address

(A)
Alexander Blum
Purpose Date Amount
1376 York Avenue Apt. 1C (C) (D) (E)
(B)
Grant Consultant
(A) (C) (D) (E)
American Medical Student Association Fellowship & Sponsor Payment 08/01/2009 $10,000
Fellowship & Sponsor Payment 03/01/2010 $10,000
1902 Association Drive Fellowship & Sponsor Payment 04/12/2010 $5,000
Reston Fellowship & Sponsor Payment 05/01/2010 $7,989
VA Fellowship & Sponsor Payment 05/12/2010 $5,000
20191-1502 Fellowship & Sponsor Payment 06/08/2010 $5,000
Type or Classification Fellowship & Sponsor Payment 06/18/2010 $5,000
Medical Association Total Non-Itemized Transactions $43,224
Name and Address
(A)
Purpose Date Amount
Lake Research Partners (C) (D) (E)
Research on Resident Work Hour 10/26/2009 $18,284
1726 M Street NW Suite 1100
Washington
DC
20036
Reserach & Survey Company
Name and Address
(A)
National Doctors Alliance
Purpose Date Amount
(C) (D) (E)
520 8th Avenue Suite 1200
Funding for NDA Staff Position 01/20/2010 $16,225
New York
NY
10018
(B)
Name and Address
(A)
Office Team
Purpose Date Amount
12400 Collections Center Dr (C) (D) (E)
Chicago Total Itemized Transactions $0
IL Total Non-Itemized Transactions $9,632
(B)
Staffing Agency
Name and Address
(A)
Martin E. Urra
Purpose Date Amount
7860 SW 120 Place (C) (D) (E)
Miami Total Itemized Transactions $0
FL Total Non-Itemized Transactions $28,488
(B)
Member Service Consultant
Name and Address
(A)
At Home Inn Chicago
Purpose Date Amount
405 W. Eugenie Street (C) (D) (E)
(B)
Hotel
26 of 41 1/8/11 9:32 AM
Name and Address

(A)
Barbara Zausner
Purpose Date Amount
P.O. Box 300
(C) (D) (E)
Legal Fees 12/09/2009 $6,181
Mt. Tremper
NY
12457-0300
(B)
Attorney
(A) (C) (D) (E)
Berlin Rosen, LTD Organizing Consulting Fees 12/02/2009 $7,500
Organizing Consulting Fees 01/01/2010 $7,520
15 Maiden Lane, Suite 803 Organizing Consulting Fees 01/07/2010 $7,500
New York Organizing Consulting Fees 02/16/2010 $7,500
NY Organizing Consulting Fees 03/10/2010 $7,500
10038 Organizing Consulting Fees 04/12/2010 $7,500
Type or Classification Organizing Consulting Fees 05/12/2010 $7,250
(B) Organizing Consulting Fees 06/08/2010 $7,250
Organizing Consultants
Name and Address
(A) Purpose Date Amount
Carol G. Dunham (C) (D) (E)
Legal Fees 12/02/2009 $6,014
954 Carleton Road Legal Fees 03/10/2010 $6,588
Westfield Legal Fees 04/12/2010 $6,545
NJ Total Itemized Transactions $19,147
Type or Classification Total Non-Itemized Transactions $12,410
Legal Consultant
Name and Address
(A)
Purpose Date Amount
Doctors Council SEIU (C) (D) (E)
50 Broadway, Suite 1101
New York
NY
10004
Name and Address
(A)
Himmelstein,McConnell,Gribben
Donoghue Purpose Date Amount
(C) (D) (E)
15 Maiden Lane Legal Fees 12/04/2009 $5,000
New York Total Itemized Transactions $5,000
NY Total Non-Itemized Transactions $491
(B)
Legal Firm
Name and Address
(A)
Joan Pransky
Purpose Date Amount
(C) (D) (E)
501 Bloomfield Ave 3rd FL
Legal Fees 04/12/2010 $7,667
Montclair
NJ
07042-3552
(B)
Attorney
Name and Address
(A)
Kennedy, Jennik & Murray, P.C.
Purpose Date Amount
113 University Place 7th FL (C) (D) (E)
(B)
Legal Firm
27 of 41 1/8/11 9:32 AM
Name and Address

(A) Total Itemized Transactions
Purpose Date Amount $36,758
Mintz Levin (C)
Total Non-Itemized Transactions (D) (E) $3,694
Legal Fees
Total of All Transactions 02/01/2010 $5,000
$40,452
666 Third Avenue Legal Fees 03/29/2010 $7,296
New York Legal Fees 05/12/2010 $5,564
NY Legal Fees 06/18/2010 $18,898
10017
(B)
Attorney
Name and Address
(A)
Phillips & Richard, P.A.
Purpose Date Amount
9360 SW 72 Street Suite 283 (C) (D) (E)
Miami Total Itemized Transactions $0
FL Total Non-Itemized Transactions $18,786
(B)
Legal Firm
Name and Address
(A)
Roll Call, Inc.
Purpose Date Amount
(C) (D) (E)
50 F Street NW Suite 700
Advertising Fees 10/07/2009 $8,458
Washington
DC
20001
(B)
Publication
(A) (C) (D) (E)
Schwartz, Steinsapir, Dohrman & Legal Fees 09/01/2009 $6,073
Sommers Legal Fees 09/23/2009 $8,581
Legal Fees 10/26/2009 $11,995
6300 Wilshire Blvd Ste 2000 Legal Fees 11/23/2009 $11,862
Los Angeles Legal Fees 02/01/2010 $8,028
CA Legal Fees 03/29/2010 $7,518
90048-5202
Legal Fees 05/25/2010 $5,285
(B)
Legal Firm
Name and Address
(A)
Southwest Airlines
P.O. Box 36647 Purpose Date Amount
(C) (D) (E)
Dallas Total Itemized Transactions $0
TX Total Non-Itemized Transactions $5,018
(B)
Airline
Name and Address
(A)
Purpose Date Amount
Stanley Kalmon Schlein, Esq. (C) (D) (E)
Legal Fees 04/19/2010 $6,000
481 King Avenue
Legal Fees 05/01/2010 $6,000
Bronx
Legal Fees 06/01/2010 $6,000
NY
10464
Attorney
(A) (C) (D) (E)
Tonio Burgos & Associates, Inc New Organizing Consulting services 07/01/2009 $5,000
New Organizing Consulting services 08/01/2009 $5,000
115 Broadway, Suite 1504 New Organizing Consulting services 08/18/2009 $5,149
New York New Organizing Consulting services 09/01/2009 $5,000
NY New Organizing Consulting services 10/08/2009 $5,622
10006 New Organizing Consulting services 11/09/2009 $5,076
Type or Classification New Organizing Consulting services 12/09/2009 $5,000
(B)
Organizing Consultants New Organizing Consulting services 02/16/2010 $5,000
Total Non-Itemized Transactions $208
28 of 41 1/8/11 9:32 AM
Purpose Date Amount

(C) (D) (E)
Total Non-Itemized Transactions $208
Name and Address
(A)
Vanessa Dixon
Purpose Date Amount
1007 Heather Avenue (C) (D) (E)
Takoma Total Itemized Transactions $0
MD Total Non-Itemized Transactions $17,640
(B)
Organizing Consultant
(A) (C) (D) (E)
Weiss & Zarett, P.C. Legal Fees 07/21/2009 $9,053
Legal Fees 03/01/2010 $7,304
3333 New Hyde Park Rd #211 Legal Fees 03/29/2010 $8,027
New Hyde Park Legal Fees 05/25/2010 $8,354
NY Legal Fees 06/18/2010 $10,451
11042 Legal Fees 06/18/2010 $9,802
Type or Classification Total Itemized Transactions $52,991
(B)
Legal Firm
29 of 41 1/8/11 9:32 AM
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 506-906
Name and Address

(A)
Committee to Elect Diane Denish
Purpose Date Amount
P.O. Box 30561
(C) (D) (E)
Contribution 12/01/2009 $5,000
Albuquerque
NM
87190
(B)
Political Campaign
Name and Address
(A)
Maynard Consulting Services
Purpose Date Amount
2404 Wilshire Blvd Suite 5A (C) (D) (E)
Los Angeles Total Itemized Transactions $0
CA Total Non-Itemized Transactions $9,417
(B)
Political Consultant
30 of 41 1/8/11 9:32 AM
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 506-906
Name and Address

(A)
CIR Policy Education Initiative
Purpose Date Amount
(C) (D) (E)
Contribution 12/16/2009 $12,000
New York
NY
10018
(B)
Affiliate Foundation
31 of 41 1/8/11 9:32 AM
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 506-906
Name and Address

(A)
Accountemps
Purpose Date Amount
(C) (D) (E)
12400 Collections Center Dr
Temporary Office Help 11/23/2009 $5,730
Chicago
IL
60693
(B)
Staffing Agency
Name and Address
(A)
Tygris Vendor Finance Inc.
Purpose Date Amount
Dept. 1608 (C) (D) (E)
Denver Total Itemized Transactions $0
CO Total Non-Itemized Transactions $22,933
80291-1608 Total of All Transactions $22,933
(B)
Office Equipment Rental
Name and Address
(A)
United Parcel Service
P.O. Box 7247-0244 Purpose Date Amount
(C) (D) (E)
Philadelphia Total Itemized Transactions $0
PA Total Non-Itemized Transactions $12,393
(B)
Shipping/Delivery Service
(A) (C) (D) (E)
Verizon Telephone services 07/21/2009 $6,735
P.O.Box 660720 Telephone services 08/18/2009 $8,843
Telephone services 09/14/2009 $8,122
Dallas Telephone services 10/26/2009 $7,902
TX Telephone services 11/16/2009 $7,876
75266-0720 Telephone services 01/20/2010 $6,027
Type or Classification Telephone services 02/16/2010 $9,832
(B)
Telecommunications Company Telephone services 04/12/2010 $6,935
Name and Address
(A)
Purpose Date Amount
Voluntary Hospitals HSBP (C) (D) (E)
CIR portion of Shared expenses 02/16/2010 $62,513
New York
NY
10018
Name and Address
(A)
KMR System Corporation
Purpose Date Amount
6800 Jericho Tpke Ste 207E (C) (D) (E)
Syosset Total Itemized Transactions $0
(B)
Software & Network Services
Name and Address
(A)
AT&T
Purpose Date Amount
P.O. Box 105262
(C) (D) (E)
Total Itemized Transactions $0
Atlanta
GA
32 of 41 1/8/11 9:32 AM
(B)
Telecommunications Company
Name and Address
(A)
Bencom, LLC
Purpose Date Amount
(C) (D) (E)
928 Broadway Suite 903
Consulting for Employee Benefits 07/21/2009 $6,455
New York
NY
10010
(B)
Employee Benefits Consultants
Name and Address
(A)
Borough Supplies Corp.
Purpose Date Amount
328 West 15th Street (C) (D) (E)
(B)
Office Supply Company
Name and Address
(A)
Central Parking System
Purpose Date Amount
360 West 31st Street 12th F (C) (D) (E)
(B)
Parking for NY Office
Name and Address
(A)
Ceridan Small Business
P.O. BOX 10989 Purpose Date Amount
(C) (D) (E)
Newark Total Itemized Transactions $0
NJ Total Non-Itemized Transactions $7,237
(B)
Payroll Processor
Name and Address
(A)
Charles J. Bubla
Purpose Date Amount
46 Fisk Road (C) (D) (E)
Holtsville Total Itemized Transactions $0
(B)
Computer Consultant
Name and Address
(A)
Cleaning Service Industries, Inc.
Purpose Date Amount
1384 Broadway, Suite 407 (C) (D) (E)
(B)
Office Maintenance Company
Name and Address
(A)
Coe & Peterson, LLC
Purpose Date Amount
2325 San Pedro NE Ste 2A (C) (D) (E)
Albuquerque Total Itemized Transactions $0
NM Total Non-Itemized Transactions $6,420
(B)
Landlord
(A) (C) (D) (E)
33 of 41 1/8/11 9:32 AM
Dominion Tower
1400 NW 10th Avenue

Purpose Date Amount
Miami
(C) (D) (E)
FL
33136
(B)
Landlord
Name and Address
(A)
Gateway Towers, LLC
P.O Box 79562 Purpose Date Amount
(C) (D) (E)
City of Industry Total Itemized Transactions $0
(B)
Landlord
Name and Address
(A)
Grubb & Ellis Consulting Services Co.
Purpose Date Amount
1177 Avenue of the Americas (C) (D) (E)
(B)
Real Estate Consultants
Name and Address
(A)
Hanover Insurance Company
(C) (D) (E)
Woburn Total Itemized Transactions $0
MA Total Non-Itemized Transactions $9,872
(B)
Insurance Company
Name and Address
(A)
Henry Sandigo
Purpose Date Amount
1981 Viola View Ct. (C) (D) (E)
Lincoln Total Itemized Transactions $0
(B)
Landlord
Name and Address
(A)
Housestaff Benefit Plan
Purpose Date Amount
520 8th Avenue Suite 1200 (C) (D) (E)
(B)
Name and Address
(A) Purpose Date Amount
Joseph Warren & Company (C) (D) (E)
Accounting/Auditing Fees 12/16/2009 $11,500
144 East 44th Street Accounting/Auditing Fees 01/20/2010 $11,500
New York Accounting/Auditing Fees 04/12/2010 $11,500
NY Accounting/Auditing Fees 06/18/2010 $11,500
10017 Total Itemized Transactions $46,000
Type or Classification Total Non-Itemized Transactions $267
Accounting Firm
Name and Address
(A)
Purpose Date Amount
Locktight Solutions, Inc. (C) (D) (E)
Consulting service for computer systems 06/18/2010 $7,316
11 Ridge Road
Creeskill
NJ
34 of 41 1/8/11 9:32 AM
(B)
Computer Consultants
Name and Address
(A)
Manhattan Mini Storage
Purpose Date Amount
520 8th Avenue 19th FL (C) (D) (E)
(B)
Document Storage
Name and Address
(A)
McGuire Urban Bay Inc.
Purpose Date Amount
17 Bluxome Street (C) (D) (E)
San Francisco Total Itemized Transactions $0
(B)
Landlord
Name and Address
(A)
Netlink Corp.
(C) (D) (E)
Englewood Total Itemized Transactions $0
NJ Total Non-Itemized Transactions $6,316
(B)
Internet Provider
(A) (C) (D) (E)
Newmark & Co. Real Estate, Inc. Monthly Rent & Utilities for New York Office 07/06/2009 $40,872
Monthly Rent & Utilities for New York Office 08/05/2009 $42,639
125 Park Avenue, 11th Floor Monthly Rent & Utilities for New York Office 09/01/2009 $43,794
New York Monthly Rent & Utilities for New York Office 10/07/2009 $44,026
NY Monthly Rent & Utilities for New York Office 11/09/2009 $41,119
10017 Monthly Rent & Utilities for New York Office 12/09/2009 $39,405
Type or Classification Monthly Rent & Utilities for New York Office 01/07/2010 $38,104
(B)
Landlord
Name and Address
(A)
Pacific Business Centers, Inc.
Purpose Date Amount
1300 Clay Street Suite 600 (C) (D) (E)
Oakland Total Itemized Transactions $0
(B)
Landlord
Name and Address
(A)
Pitney Bowes Global Financial Svcs LLC
(C) (D) (E)
Louisville Total Itemized Transactions $0
KY Total Non-Itemized Transactions $9,735
(B)
Postage Machine rental
(A) (C) (D) (E)
Pitney Bowes Inc. Postage Machine Refill 07/09/2009 $10,000
P.O. Box 856042 Postage Machine Refill 01/07/2010 $6,455
Postage Machine Refill 03/10/2010 $5,500
Louisville Total Itemized Transactions $28,455
35 of 41 1/8/11 9:32 AM
Type or Classification Purpose Date Amount

(B) (C) (D) (E)
Postage Postage Machine Refill 04/12/2010 $6,500
Name and Address
(A)
Postmaster of New York Purpose Date Amount
JAF Building (C) (D) (E)
421 8th Avenue, Window 46 Postage expense 01/07/2010 $5,000
New York Postage expense 04/05/2010 $6,000
10199-9998 Total Non-Itemized Transactions $7,370
(B)
Postage
Name and Address
(A)
React Technical
Purpose Date Amount
(C) (D) (E)
34-02 Review Avenue
Building Repair/Maintenance expense 02/16/2010 $5,291
Long Island City
NY
11101
(B)
Building Maintenance
Name and Address
(A)
Rosetta Stone Ltd.
Purpose Date Amount
(C) (D) (E)
135 West Market Street
Language Program 03/29/2010 $20,686
Harrisonburg
VA
22801
(B)
Language Education Program
Name and Address
(A)
Stacy Braun Associates, Inc.
Purpose Date Amount
377 Broadway (C) (D) (E)
(B)
Investment Advisors
Name and Address
(A)
Staples Business Advantage
(C) (D) (E)
Boston Total Itemized Transactions $0
MA Total Non-Itemized Transactions $22,824
(B)
Office Supply Company
Name and Address
(A)
Stop-N-Go Wireless
Purpose Date Amount
942 Broadway (C) (D) (E)
(B)
Cellular Phone Provider
Name and Address
(A)
Tek Architects, PC
Purpose Date Amount
(C) (D) (E)
19 Union Square West
Consulting fees 05/12/2010 $6,250
New York
NY
10003
(B)
Architect
36 of 41 1/8/11 9:32 AM
Name and Address

(A)
The Hartford Insurance Company
Purpose Date Amount
P.O. Box 2907
(C) (D) (E)
General Liability Insurance 01/20/2010 $8,761
Hartford
CT
06104-2907
(B)
Insurance Company
37 of 41 1/8/11 9:32 AM
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 506-906
Name and Address

(A)
American Airlines
DFW Intl Apirport (C) (D) (E)
(B)
Airline
Name and Address
(A)
Amtrak
Purpose Date Amount
3 Penn Plaza (C) (D) (E)
(B)
Train Service
Name and Address
(A)
Certe
Purpose Date Amount
20 West 55th Street (C) (D) (E)
(B)
Catering Services
Name and Address
(A)
Purpose Date Amount
Consolidated Color Press, Inc. (C) (D) (E)
Printing Services 07/21/2009 $15,690
307 Seventh Ave Suite 602
New York
NY
10001
Printing Company
Name and Address
(A)
Continental Airlines
Purpose Date Amount
1600 Smith St (C) (D) (E)
Houston Total Itemized Transactions $0
(B)
Airline
Name and Address
(A)
Cornell University ILR School
(C) (D) (E)
Ithaca Total Itemized Transactions $0
(B)
Training
Name and Address
(A)
Delta Airlines
(C) (D) (E)
Atlanta Total Itemized Transactions $0
GA Total Non-Itemized Transactions $8,891
(B)
Airline
(A) (C) (D) (E)
38 of 41 1/8/11 9:32 AM
Food Trends
56 East 41st Street

New York Purpose Date Amount
NY (C) (D) (E)
(B)
Catering Services
Name and Address
(A)
Glen Cove Mansion Hotel Purpose Date Amount
(C) (D) (E)
200 Dosoris Lane Executive Committee Meeting 09/01/2009 $15,664
Glen Cove Executive Committee Meeting 05/27/2010 $9,000
11542 Total Non-Itemized Transactions $4,327
(B)
Hotel
Name and Address
(A)
Hedrush Music Service
Purpose Date Amount
(C) (D) (E)
916 G Street NW Ste 204
Annual Convention 04/07/2010 $6,470
Washington
DC
20001
(B)
Entertainment
Name and Address
(A)
Hilton Oakland Airport
Purpose Date Amount
(C) (D) (E)
1 Hegenberger Rd
Western Regional Meeting 10/02/2009 $7,509
Oakland
CA
94621
(B)
Hotel
Name and Address
(A)
Hotel 41
206 West 41st St Purpose Date Amount
(C) (D) (E)
(B)
Hotel
Name and Address
(A)
Hyatt Regency Philadelphia at Penn's Purpose Date Amount
Landing (C) (D) (E)
201 S. Columbus Blvd
Philadelphia
PA
19106 Total Non-Itemized Transactions
(B)
Hotel
Name and Address
(A)
JayStar Group, Inc.
Purpose Date Amount
(C) (D) (E)
85 East Avene, Lower Level
Norwalk
CT
(B)
LM2 Consultants
Name and Address
(A)
Jetblue Airlines Purpose Date Amount
(C) (D) (E)
118-29 Queens Blvd Total Itemized Transactions $0
Forest Hills Total Non-Itemized Transactions $5,491
NY Total of All Transactions $5,491
11375
39 of 41 1/8/11 9:32 AM
(B)
Airline
Name and Address
(A)
Judith Rew Graphic Design & Production
Purpose Date Amount
(C) (D) (E)
7 Jefferson Place
Montclair
NJ
(B)
Newsletter Designer
Name and Address
(A)
Marriott Beach Resort
Purpose Date Amount
(C) (D) (E)
1400 Parkview Ave
2010 Skills Training 03/02/2010 $22,200
Manhattan Beach
CA
90266
(B)
Hotel
Name and Address
(A)
Purpose Date Amount
Philmark Lithographics, Inc. (C) (D) (E)
CIR Newsletter printing expense 10/26/2009 $10,130
225 Varick Street
New York
NY
10014
Printing Company
Name and Address
(A)
Purpose Date Amount
Ross Resources, Inc. (C) (D) (E)
HR Consulting services 07/01/2009 $5,246
441 Division Avenue
Hicksville
NY
11801
HR Consultants
Name and Address
(A)
Southwest Airlines
(C) (D) (E)
(B)
Airline
Name and Address
(A)
U.S. Airways
Purpose Date Amount
4000 E Sky Harbor Blvd (C) (D) (E)
Phoenix Total Itemized Transactions $0
AZ Total Non-Itemized Transactions $35,022
(B)
Airline
Name and Address
(A)
United Airlines
Purpose Date Amount
77 W Wacker Dr (C) (D) (E)
(B)
Airline
(A) (C) (D) (E)
Executive Committee Meeting 12/02/2009 $5,256
40 of 41 1/8/11 9:32 AM
Wyndham Garden Hotel
341 West 36th Street

Purpose Date Amount
New York
(C) (D) (E)
NY
10018
(B)
Hotel
SCHEDULE 20 - BENEFITS FILE NUMBER: 506-906
Description To Whom Paid Amount

(A) (B) (C)
Medical Insurance Housestaff Benefit Plan $66,979
Medical Insurance Voluntary Hospitals HSBP $425,812
Pension Benefits SEIU Affiliates Officers & Emp $545,508
Uninsured Medical Expenses Employees $752
Total Benefits $1,039,051
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 506-906
Question 10: HOUSE STAFF BENEFIT PLAN ID # 13-6203291 A TAX EXEMPT 501-C-9 MULTI-EMPLOYER/EMPLOYEE BENEFIT PLAN
VOLUNTARY HOSPITAL HOUSE STAFF BENEFIT PLAN ID # 13-3029280 A TAX EXEMPT 501-C-9 MULTI-EMPLOYER/EMPLOYEE BNTF
PLAN
PATIENT CARE TRUST FUND ID# 13-3045148 A TAX EXEMPT 501-C3
PROFESSIONAL EDUCATION PLAN ID# 13-4071468 A TAX EXEMPT 501-C9 MULTI EMPLOYER/EMPLOYEE BENEFIT PLAN
Question 11: PAC FUND (CIR-SEIU LOCAL 1957 HEALTH CARE ADVOCACY FUND) FILES FORM A17520 WITH THE NEW YORK STATE
BOARD OF ELECTIONS
Question 12: AUDIT IS BEING PERFORMED BY JOSEPH WARREN & CO CPA'S, 144 EAST 44th STREET, NEW YORK, NY 10017
212-697-2225
Question 16: CIR MAINTAINED A SECURITY DEPOSIT IN THE AMOUNT OF $80,438 WITH NEWMARK REAL ESTATE (LANDLORD) FOR
THE LEASE.
Schedule 13 : VOTING MEMBERSHIP PAYS FULLS DUES AND HAS FULL VOTING RIGHTS.
Question 18: NEW CONSTITUION IS ATTACHED.
Frequently Asked Questions | Freedom of Information Act | Privacy & Security Statement | Disclaimers | Customer Survey | Important Web Site Notices
U.S. Department of Labor | Frances Perkins Building, 200 Constitution Ave., NW, Washington, DC 20210
www.dol.gov | Telephone: 1-866-4-USA-DOL (1-866-487-2365) | TTY: 1-877-4-889-5627 | Contact Us
41 of 41 1/8/11 9:32 AM

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HTML Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.

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U.S. Department of Labor FORM LM-2 LABOR ORGANIZATION ANNUAL

READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.

2. PERIOD COVERED 3. (a) AMENDED - Is this an amended report: No

4. AFFILIATION OR ORGANIZATION NAME 8. MAILING ADDRESS (Type or print in capital letters)

ITEMS 10 THROUGH 21 FILE NUMBER: 506-906

STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 506-906

Schedule Start of Reporting Period End of Reporting Period

Schedule Start of Reporting Period End of Reporting Period

35. NET ASSETS $6,035,016 $5,718,411

STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 506-906

CASH RECEIPTS SCH AMOUNT CASH DISBURSEMENTS SCH AMOUNT

66. Subtotal $11,963,175

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 506-906

SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 506-906

SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 506-906

SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 506-906

SCHEDULE 5 - INVESTMENTS FILE NUMBER: 506-906

SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 506-906

SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 506-906

Description Book Value

SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 506-906

Total Account 90-180 Days 180+ Days Past Liquidated

SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 506-906

SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 506-906

Description Amount at End of Period

SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 506-906

(D) (E) (F) (G) (H)

(D) (E) (F) (G) (H)

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 506-906

(D) (E) (F) (G) (H)

(D) (E) (F) (G) (H)

(D) (E) (F) (G) (H)

(D) (E) (F) (G) (H)

(D) (E) (F) (G) (H)

SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 506-906

Category of Membership Number Voting Eligibility

DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 506-906

SCHEDULE 14 OTHER RECEIPTS SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES SCHEDULE 18 GENERAL OVERHEAD

SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 506-906

Name and Address

Name and Address

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 506-906

Name and Address

Name and Address

Name and Address

Purpose Date Amount

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 506-906

Name and Address

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 506-906

Name and Address

SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 506-906

Name and Address

1400 NW 10th Avenue

Type or Classification Purpose Date Amount

Name and Address

SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 506-906

Name and Address

56 East 41st Street

Wyndham Garden Hotel